FAMILY GRANT APPLICATION

Friends of Chase Grant

Chasen’Tailz is dedicated to improving the lives of sick children in memory of Chase Warren. We understand how scary and isolating caring for a medically complex child can me. Our goal is be there for emotional & financial support during these times. We help pay living expenses, transportation, past due medical expenses, medication & therapies not covered by insurance and many others. Please complete the information below and you will be contacted shortly, most grants are between $500.00 – $2000.00.

FAMILY GRANT APPLICATION FORM

A copy of your current pay stub, W2 or Taxes may be required.